GoLYTELY NDC 24338-236

NDC codes

FDA NDC Directory

Product NDC (as listed)24338-236Labeler and product segments. Claims need a package NDC.

Product NDC at billing width24338-0236Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
24338-236-01	24338023601	4 L in 1 BOTTLE, PLASTIC (24338-236-01)Marketed from Apr 17, 2026

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): GoLYTELY
Generic name (nonproprietary): polyethylene glycol 3350, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride
Active ingredients: Polyethylene glycol 3350 — 236 g/4LSodium sulfate anhydrous — 22.74 g/4LSodium bicarbonate — 6.74 g/4LSodium chloride — 5.86 g/4LPotassium chloride — 2.97 g/4L
Dosage form: Powder, For solution
Route: Oral
Labeler: Azurity Pharmaceuticals, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 019011
Marketing start: Apr 17, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 24338-236_7609ecf7-0ce0-4fbb-9c27-30987f689575SPL ID 7609ecf7-0ce0-4fbb-9c27-30987f689575SPL set ID 7609ecf7-0ce0-4fbb-9c27-30987f689575RxCUI 966920, 966922UNII G2M7P15E5P, 36KCS0R750, 8MDF5V39QO, 451W47IQ8X, 660YQ98I10UPC 0324338236017
Pharmacologic class: Osmotic Laxative; Potassium Salt

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N424338023601 followed by a unit qualifier and the quantity

Package 24338-0236-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective Apr 15, 2026.

Indications (excerpt from the label)

GoLYTELY is indicated for bowel cleansing prior to colonoscopy and barium enema X-ray examination in adults. GoLYTELY is a combination of PEG 3350, an osmotic laxative, and electrolytes indicated for cleansing of the colon in preparation for colonoscopy and barium enema X-ray examination in adults. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019011

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 019011
Product	Strength	Form · route	Labeler	Product NDC
PEG 3350 and Electrolytespolyethylene glycol 3350, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride	Polyethylene glycol 3350 236 g/4L + 4 more ingredients	Powder, For solutionOral	Wilshire Pharmaceuticals, Inc.	52536-236
GoLYTELYpolyethylene glycol 3350, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride	Polyethylene glycol 3350 236 g/4L + 4 more ingredients	Powder, For solutionOral	Braintree Laboratories, Inc.	52268-100
PEG 3350 and Electrolytespolyethylene glycol 3350, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride	Polyethylene glycol 3350 236 g/4L + 4 more ingredients	Powder, For solutionOral	A-S Medication Solutions	50090-8020
PEG-3350 and Electrolytespolyethylene glycol 3350, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride	Polyethylene glycol 3350 236 g/4L + 4 more ingredients	Powder, For solutionOral	Affordable Pharmaceuticals, LLC	10572-100
PEG-3350 and Electrolytespolyethylene glycol 3350, sodium sulfate anhydrous, sodium bicarbonate, sodium chloride, potassium chloride	Polyethylene glycol 3350 236 g/4L + 4 more ingredients	Powder, For solutionOral	A-S Medication Solutions	50090-6521